Outpatient Prospective Payment Systems (OPPS)
The Medicare Payment Advisory Commission (MedPAC, or the Commission) will vote this month on payment recommendations for 2021. The American Hospital Association (AHA) asks that commissioners consider the following issues that would have a significant impact on hospitals, health systems, other…
The AHA, joined by Association of American Medical Colleges and several member hospitals, today filed a lawsuit against the Department of Health and Human Services for continuing to reduce in calendar year 2020 payments for hospital outpatient services provided in off-campus provider-based…
The Department of Health and Human Services Dec. 12 announced that it intends to ask the U.S. Court of Appeals to reverse a district court ruling in favor of the AHA.
The AHA is pleased that at our urging, CMS will be repaying affected hospitals the full OPPS rate for 2019 to support the critical work they do for the patients and communities they serve.
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As part of its yearly process to establish Medicare rates under the Outpatient Prospective Payment System (OPPS), the U.S. Department of Health and Human Services (HHS) recently published a new rule setting those rates for the 2020 calendar year. Because the new rule effectively reduces payment…
The Centers for Medicare & Medicaid Services (CMS) Nov. 1 released the calendar year (CY) 2020 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) payment system final rule. In addition to standard updates, the rule finishes phasing in the site-neutral rate for clinic…
The Centers for Medicare & Medicaid Services Nov. 1 released the calendar year 2020 outpatient prospective payment system/ambulatory surgical center payment system final rule.
Today’s final rule from CMS regrettably ignores recent legal decisions while also putting even more pressure on hospitals and health systems that care for vulnerable patients and communities.